CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Duncan Regional Hospital, Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $875
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 8.19x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Duncan Regional Hospital, Inc is $875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.19x the Medicare baseline. Located in 1407 Whisenant Drive, Duncan, OK.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$875

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $217 (203%)
Insurance Median: $875 (819%)
Cash: $217 (203% of Medicare)
Ins. Median: $875 (819% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 819% of the Medicare baseline (a markup of 719%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $108 101%
Friday Health Plan $276 258%
Blue Cross Blue Shield $414 - $650 388%
Medica $565 529%
Healthcare Highways $592 - $875 554%
UnitedHealthcare $915 857%
Oklahoma Health Network (Ohn) $1,077 1008%
Aetna $1,144 1071%
Coventry $1,144 1071%
Cigna $1,211 1134%
First Health $1,211 1134%
Osma Health $1,211 1134%
Preferred Community Choice $1,238 1159%
Healthsmart $1,265 1184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1407 Whisenant Drive, Duncan, OK 73533
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals